Physical Therapy by Dr.Usman Shafiq

04/08/2026

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

20/07/2026

trying to get a strong knee you need to strengthen quadriceps muscle

19/07/2026

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After 6 sessions of sports physiotherapy 60-70 percent improvement now patients will see orthopedic surgeon for best opinion inorder to return to sports

Recently, I treated a competitive cricket fast bowler/all-rounder National player of Bahrain
who presented with severe knee pain. His MRI revealed multiple structural findings, but what stood out to me wasn't the scan—it was the story behind it.

The injury had started almost **10 months earlier**.

Instead of seeking professional medical assessment, he continued playing through pain. The symptoms would temporarily settle, then return after training and matches. Like many athletes, he feared missing selection and believed the pain would eventually disappear.

Three days after his last match, the pain became so severe that he struggled to walk and finally sought physiotherapy.

Our initial management focused on reducing pain and restoring movement through:

* Pain management modalities
* Manual therapy and joint mobilization
* Progressive strengthening
* patient,s confidence gained 90 percent

This case reinforced an important lesson:

**Recurrent injuries are often not caused by a single traumatic event—they are the result of repeated neglect, incomplete rehabilitation, and returning to sport before the body is truly ready.**

As a Sports Physiotherapist, I see three major challenges that continue to affect many athletes:

🔹 **Players hide their pain** because they fear losing their place in the team.

🔹 **Communication gaps** exist between players, coaches, medical professionals, and rehabilitation specialists.

🔹 **Rehabilitation is often viewed as treatment only**, whereas modern sports medicine includes:

* Prehabilitation before the season
* Injury prevention during the season
* Early assessment when symptoms begin
* Structured rehabilitation after injury
* Objective return-to-play decision making

An MRI can identify damaged tissues, but it cannot reveal the decisions that allowed the injury to progress.

Early assessment, proper rehabilitation, and collaboration between athletes, coaches, physicians, and physiotherapists can prevent many injuries from becoming long-term problems.

**The goal is not simply to get an athlete back on the field—it is to keep them performing safely throughout their career.**

What are your thoughts? Have you seen athletes continue competing despite pain, only to face a more serious injury later?

18/07/2026

consult physio
do recommended exercise
give time to your injury to rehab
and avoid recurrent injury

26/06/2026

welcome bahrain national cricket player in my clinic & given full body sports assessment

14/06/2026

Did you know that physiotherapists use different electrical impulses for completely different purposes? 🤔⚡

Not all electrotherapy is the same! The right current can completely change the speed and quality of your recovery. Here’s a quick breakdown of what we use at Smart Care Medical Centre:

🛑 TENS — Blocks pain signals for instant relief. 🌀 IFT — Penetrates deep for joint and deep-tissue pain. 🔄 NMES — Re-activates lazy muscles after injury or surgery. 💪 Russian Current — Builds elite muscle strength and athletic performance.

Technology alone doesn’t heal. Expert clinical assessment is what makes the difference. 🩺✨

🎯 Pain relief is just the beginning. Let's target your recovery

07/06/2026

31/12/2025

From Bed Rest to Gym Training: A Conservative Spine Success Story

In September 2025, a 43-year-old male patient was referred to physiotherapy with severe low back pain and left-sided sciatica following exaggerated stretching during gym activity, combined with extensive cardio training, frequent running while dehydrated, and prolonged sitting related to his occupation.

MRI demonstrated a large posterior and left-sided L4–L5 disc extrusion measuring approximately 2 × 2 × 0.8 cm with cranial migration (~2 cm), causing significant compression of the left L4 nerve root. An additional left-sided L5–S1 disc bulge was noted, affecting the left S1 nerve root.

After assessment and administration of an epidural steroid injection, the orthopedic consultant decided to proceed with conservative management and referred the patient for structured physiotherapy rehabilitation.

At initial presentation, the patient had marked pain, motor weakness, restricted lumbar mobility, impaired gait, and limitations in daily activities.

Physiotherapy management focused on pain modulation, lumbar stabilization, neural mobilization, progressive lower-limb strengthening, postural correction, and graded functional and gym-based training.

Clinical outcomes:

After 1 month of physiotherapy: ~70% improvement

After 2 months: ~90% improvement

Pain medications discontinued following orthopedic follow-up

Functional progression from bed-level activity to gym-based functional training

This case highlights an important clinical insight:
Even large lumbar disc extrusions can respond very well to evidence-based conservative management when contributing factors are identified and addressed early through interdisciplinary care.

As clinicians, our role is to restore function, resilience, and safe movement, not to treat imaging findings alone.

Shared for professional education. Patient confidentiality maintained.

👉 If you are a clinician managing complex spine cases, or someone exploring non-surgical options for sciatica and disc pathology, feel free to connect.